Congenital absence of unspecified thigh and lower leg with foot present
ICD-10 Q72.10 is a billable code used to indicate a diagnosis of congenital absence of unspecified thigh and lower leg with foot present.
Congenital absence of the thigh and lower leg with the foot present is a rare limb reduction defect characterized by the complete or partial absence of the femur and tibia, resulting in the foot being present but not attached to a functional limb. This condition can occur as an isolated anomaly or as part of a syndrome involving other congenital malformations. The absence of these segments can lead to significant functional limitations and may require surgical intervention, prosthetic fitting, and extensive rehabilitation. The etiology of this condition can be multifactorial, including genetic predispositions and environmental factors during pregnancy. It is essential for healthcare providers to assess the overall health of the child, including any associated anomalies, and to provide a multidisciplinary approach to care, including orthopedic, physical therapy, and possibly genetic counseling.
Detailed pediatric history, physical examination findings, and treatment plans must be documented, including any referrals to specialists.
Common scenarios include newborn assessments revealing limb abnormalities, follow-up visits for prosthetic fitting, and multidisciplinary team meetings.
Consideration of developmental milestones and the impact of limb absence on growth and mobility is crucial for accurate coding.
Genetic testing results, family history of congenital conditions, and any syndromic associations must be documented.
Scenarios may include genetic counseling sessions for families with a history of limb reduction defects and discussions of recurrence risks.
Understanding the genetic basis of limb reduction defects can aid in accurate coding and management of associated conditions.
Used for surgical interventions related to limb absence.
Detailed operative reports and preoperative assessments.
Orthopedic surgeons must provide comprehensive documentation of the procedure.
Documentation must include a detailed clinical description of the limb absence, any associated congenital anomalies, and the treatment plan. It is essential to specify the extent of the absence and any interventions planned or performed.
